NPIMap

Organization Active NPI

Educational Therapy Assessment & Services, Inc.

  • Early Intervention Provider Agency
  • Yucaipa, CA
National Provider Identifier
1609180397
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
HJ0732 Issued in CA
Legal business name
EDUCATIONAL THERAPY ASSESSMENT & SERVICES, INC.
Practice address
34590 County Line Rd
Suite 7
Yucaipa, CA 92399-5303
Phone
(909) 795-4255
Fax
(909) 795-4438
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Doreen Ann Spearman, PTNPI 1891265989
Title
Program Director
Phone
(909) 795-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X HJ0732 CA Primary

Addresses

Primary practice location

34590 County Line Rd
Suite 7
Yucaipa, CA 92399-5303

Mailing address

34590 County Line Rd.
Suite 7
Yucaipa, CA 92399
Phone (909) 795-4255

Other names 1

  • ETAS Other name

National Provider Directory

National Provider Directory
Tax ID family
Educational Therapy Assessment Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1609180397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34590 COUNTY LINE RD.",
            "address_2": "SUITE 7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-795-4255",
            "fax_number": "909-795-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34590 COUNTY LINE RD",
            "address_2": "SUITE 7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995303",
            "telephone_number": "909-795-4255",
            "fax_number": "909-795-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL THERAPY ASSESSMENT & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "909-795-4255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "HJ0732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.